Maxine Haller and Associates

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

Legal business name

MAXINE HALLER AND ASSOCIATES

Practice address

3932 John F Kennedy Pkwy Unit 10F
Fort Collins, CO 80525-3085

Phone

(970) 818-8765

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maxine Haller, OTR/L

Title

Owner

Phone

(614) 312-7045

Specialties & licenses 1

Addresses

Other names 1

• KidsBrainTree Fort Collins Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1154953487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 AVONDALE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257084",
            "telephone_number": "970-818-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 JOHN F KENNEDY PKWY UNIT 10F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253085",
            "telephone_number": "970-818-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE HALLER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-312-7045",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidsBrainTree Fort Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nicole Maulsby
• Grace Maurer, PHARMD
• Tamara Maxfield
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• May Counseling, LLC
• Freyja W May, LCSW, MSW
• Kyle Daniel May
• Sarah May, CMT
• Suellen May, LPC

• Neurorehabilitation Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Neurorehabilitation Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.